Application submission form

Personal background

Your full name

Title*

First name*

Middle name

Last name*

Email address*

Reconfirm email address*

Gender * femalemaleother

Date of birth *

Nationality*

Country*

Phone number*

Your current address*

City/place you are based in*

What describes you best?*

[group other-description]

Please specify if you selected other

[/group]

Educational experience

Degree earned (most recent)

Highest Degree earned*

[group other-degree]

Please specify if you selected other

[/group]

Name of the university*

Title of the degree*

Subject*

Year of completion*

Please select ‘Ongoing’ if you are still pursuing this degree

Additional information (upto 50 words)*

Work experience

Work experience (most recent)

Name of the organization

Designation

Job period (from)

Job period (to)

List relevant training, conference, workshop, etc. you have attended

Title of the event*

Organizers*

Event period (from)*

Event period (to)*

City/country it was organized in*

How did you contribute to this event? What did you learn from it?*

Knowledge of relevant topics

Submissions - Help us get to know you and your work by submitting the following:

Submission 1: Motivation

Reason for applying*

A written statement (in English, no more than 150 words) indicating the reason for applying and why you should be considered

Submission 2: Curriculum vitae/resume

An updated curriculum vitae/resume (maximum 2 pages). Please ensure that the file size is less than 2 MB* Choose a file

Would you like to receive emails from ICIMOD? *

YesNo

Terms and conditions

Agreement to the terms and conditions* I certify that all the information provided above is true and correct to the best of my knowledge. I understand that any incorrectness in the information provided above may result in disqualification.